tci General Surgery Coding Alert - 2017 Issue 6

Modifier Basics: Distinguish 57 and 25 to Avoid E/M Claim Denials

Timing is everything to differentiate these modifiers. When your surgeon performs an E/M service and a procedure on the same day, you just might get to collect pay for both. In fact, the key to proper pay is just a modifier away — but coders often miss the nuances that help them choose the right one. Take the following tutorial from our experts and you’ll learn how to distinguish two modifiers that can ensure appropriate reimbursement for E/M and surgery on the same date of service. Identify Modifier Choices Depending on the circumstances, you may be able to...

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